Provider Demographics
NPI:1639400567
Name:CAMPBELL, MELISSA ANNE (MSN, RN, ANP-BC)
Entity Type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:ANNE
Last Name:CAMPBELL
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Gender:F
Credentials:MSN, RN, ANP-BC
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Mailing Address - Street 1:1365 ROCK QUARRY RD
Mailing Address - Street 2:SUITE 304
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-5029
Mailing Address - Country:US
Mailing Address - Phone:770-771-6580
Mailing Address - Fax:770-771-6589
Practice Address - Street 1:1365 CLIFTON ROAD NE, SUITE 2200
Practice Address - Street 2:THE EMORY CLINIC
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322
Practice Address - Country:US
Practice Address - Phone:404-778-5770
Practice Address - Fax:404-778-3279
Is Sole Proprietor?:No
Enumeration Date:2010-01-15
Last Update Date:2015-08-28
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Provider Licenses
StateLicense IDTaxonomies
GARN198068363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner